DSA技术对颅内外供血动脉狭窄的诊断研究(附153例报告)  

Research of DSA technology in the diagnosis of cerebral artery stenosis(153 cases analysis)

作　　者：李东波[1] 宋东雷[2] 田彦龙[2] 冷冰[2] 徐斌[2] 顾宇翔[2] 王启弘[2] 陈功[2] 陈亮[2] 

机构地区：[1]陕西省安康市中心医院神经外科 [2]复旦大学附属华山医院神经外科,上海200040

出　　处：《陕西医学杂志》2009年第1期44-46,共3页Shaanxi Medical Journal

摘　　要：目的:探讨DSA技术对颅内外脑供血动脉狭窄的诊断价值,并观察其副作用。方法:对153例颅内外脑供血动脉狭窄患者采用DSA分级造影法结合旋转DSA技术进行全脑血管造影。结果:全组153例患者中共发现动脉狭窄204处,术中并发脑血管痉挛3例,造影剂轻微过敏反应2例,术后穿刺部位血肿8例,全组无死亡或昏迷、偏瘫、失语等严重并发症。结论:采用DSA分级造影法结合旋转DSA技术可以对脑供血动脉狭窄病人进行安全、准确的诊断。采用持续加压生理盐水滴注,Angioseal血管缝合器的使用等措施能够减少脑血管造影术的并发症。Objective： To investigate the diagnostic value of DSA technology for cerebral artery stenosis, and to observe the side effects. Methods： The staged angiography combining rotational DSA were used in the process of cerebral angiography for 153 patients with cerebral artery stenosis. Results： The processes of cerebral angiography in all cases were successful, and 204 arteriostenosis points were found. Although vessel spasm occurred in 3 cases, slight anaphylaxis occurred in 2 cases, and bematomas at puncture point were found in 8cases, no severe complication such as death, coma, hemiplegia or aphasia occurred. Conclusion： The patients suffered cerebral feeding artery stenosis could be diagnosed safely and reliablely with staged angiography combining rotational DSA. The use continual pressurized dripping and Angioseal vessel suturing apparatus could reduce the complication of cerebral angiography.

关 键 词：缩窄 病理性/诊断 脑动脉疾病 血管造影术 数字减影 

分 类 号：R735.7[医药卫生—肿瘤] R543.5[医药卫生—临床医学]